Peds Respiratory

Question 1

If a child aspirates on a foreign body, its it more likely to find it in the left or right bronchus?

Answer 1

Right Bronchus, more vertical

Question 2

Name some pulmonary assessments?

Answer 2

Birth History
Hx of present illness
Respiratory Status
Chest pain
Clubbing
Type of Cough

Question 3

What are 4 causes of cyanosis?

Answer 3

Alveolar Hypoventilation
Uneven Gas Distribution
R to L shunt
Diffusion disturbances

Question 4

What are the 4 stages of progression of deterioration?

Answer 4

Begins with Respiratory Distress
Respiratory Insufficiency
Respiratory Failure
Respiratory Arrest

Question 5

Name 3 apneic disorders?

Answer 5

Apnea of Prematurity
Apnea & Acute or Apparent Life Threatening Event
SIDS

Question 6

Most important pt teaching about SIDS?

Answer 6

Teach parents to position babies supine when sleeping

Question 7

What is Lryngomalacia? What is a sign?

Answer 7

Weak musculature of the airway

Inspiratory stridor that worsens with crying or respiratory illness

Question 8

What is the life threatening condition of Epiglottitis? #1 nursing priority?

Answer 8

Inflammation of the Epiglottis causing swelling switch obstructs the airway.
Need to maintain open/patent airway

Question 9

Cardinal signs of Epiglottitis?

Answer 9

Drooling, dysphagia, dysphonia, distress, tripod position

Question 10

A child presents to the ER respiratory distress does not improve with O2 and has to lie flat, what you suspect?

Answer 10

Bacterial Tracheitis

Question 11

What type of precautions will you be in when treating a RSV pt?

Answer 11

contact and droplet isolation

Question 12

What is the prophylaxis medication for RSV?

Answer 12

Synagis

Question 13

Signs of Respiratory Distress?

Answer 13

Tachypnea
Retractions
Nasal flaring
Inspiratory stridor
Diminished BS
Adventitious BS
Tachycardia
Pallor to mottled
Delayed cap refill
Restless/irritable

Question 14

A pt presents at the ER and has tachypnea and tachycardia, is the pt in early or late respiratory distress?

Answer 14

Early

Question 15

A pt is cyanotic, has bradycardia and has occasional apnea. Is it late or early respiratory failure?

Answer 15

Late

Question 16

Nursing Management for Croup Syndromes?

Answer 16

Maintaining and improving respiratory effort c humidification, steroid medications, fluids, O2, and respiratory treatments
If severe ► intubation to prevent complete airway obstruction
If bacterial in origin give antibiotics!
Family and child support

Question 17

Signs and Symptoms:RSV Bronchiolitis

Answer 17

Begins with cold
Poor feeding
Harsh cough
Low grade fever
Tachycardia
Tachypnea
Nasal flaring
Other retractions

Question 18

Children at Highest Risk for RSV Bronchiolitis

Answer 18

Premature birth
Chronic Lung Disease
Congenital Heart Disease
Neuromuscular Disease
Immune Deficiency

Question 19

A parent of a pt says their child tasted like salt, what you suspect it is?

Answer 19

Cystic Fibrosis

Question 20

What are the fat soluble vitamins?

Answer 20

A D E K

Question 21

What vaccine may prevent Epiglottits?

Answer 21

Hib vaccine

Question 22

3 components of Asthma?

Answer 22

Bronchospasm, Inflammation, Mucus Plugging

Question 23

5 T’s of trouble breathing?

Answer 23

Too hard
Too fast
Too noisy
Too tight
Too tired

Question 24

Gold standard diagnostic test for CF?

Answer 24

Sweat chloride test